Individual provider · Type 1 NPI

Jacqueline Renee Coghill

Primary Care Nurse Practitioner · Eureka, CA

NPI number 1740831767 Active

Practice location

Waterfront Recovery Services, 2413 2nd St
Eureka, CA 95501

Fax (707) 445-2599

Mailing address

3126 J St
Eureka, CA 95503-5416

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95012163 (CA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1740831767

Jacqueline Renee Coghill's National Provider Identifier is 1740831767, issued on Sep 20, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Eureka, CA. The record was last updated on Sep 20, 2019.